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This document shows data from an audit of a large carrier's claims history for a medical code, including the billed amount, allowed amount, and reported discount for each claim. It lists over 30 claims which show inconsistencies between the allowed amount and the discount percentage reported by the carrier, with some discounts reported over 30% despite allowed amounts being close to the average. The data suggests the carrier may be inaccurately reporting the discounts applied to some claims.
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TABLE OF ALLOWANCE VALUES
Payroll Period One Withholding Allowance
Weekly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 71.15
Biweekly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142.31
Semimonthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154.17
Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308.33
Quarterly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 925.00
Semiannually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,850.00
Annually. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,700.00
Daily or miscellaneous (each day of the payroll period). . . . 14.23
9781435463509, Payroll Accounting, 2012 Edition, Bernard J. Bieg - ? Cengage Learning.
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Percentage Method Tables for Income Tax Withholding
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TABLE 1¡ªWEEKLY Payroll Period
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If the amount of wages (after If the amount of wages (after
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Not over $40 . . . . . . . . . . . . . . . . $0 Not over $152 . . . . . . . . . . . . . . . $0
Over ¡ª But not over ¡ª of excess over ¡ª Over ¡ª But not over ¡ª of excess over ¡ª
$40 ¡ª $204 . . . $0.00 plus 10% ¡ª $40 $152 ¡ª $479 . . . $0.00 plus 10% ¡ª $152
$204 ¡ª $704 . . . $16.40 plus 15% ¡ª $204 $479 ¡ª $1,479 . . . $32.70 plus 15% ¡ª $479
$704 ¡ª $1,648 . . . $91.40 plus 25% ¡ª $704 $1,479 ¡ª $2,832 . . . $182.70 plus 25% ¡ª $1,479
$1,648 ¡ª $3,394 . . . $327.40 plus 28% ¡ª $1,648 $2,832 ¡ª $4,235 . . . $520.95 plus 28% ¡ª $2,832
$3,394 ¡ª $7,332 . . . $816.28 plus 33% ¡ª $3,394 $4,235 ¡ª $7,443 . . . $913.79 plus 33% ¡ª $4,235
$7,332 . . . . . . . . . . . . . . . . . $2,115.82 plus 35% ¡ª $7,332 $7,443 . . . . . . . . . . . . . . . . . $1,972.43 plus 35% ¡ª $7,443
TABLE 2¡ªBIWEEKLY Payroll Period
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is: to withhold is: is: to withhold is:
Not over $81 . . . . . . . . . . . . . . . . $0 Not over $304 . . . . . . . . . . . . . . . $0
Over ¡ª But not over ¡ª of excess over ¡ª Over ¡ª But not over ¡ª of excess over ¡ª
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The document provides details on a homeowner's current mortgage situation and projected financial information over the next 30 years. It then shows a proposed modified mortgage situation that would lower the homeowner's monthly payments and debt-to-income ratio to a more affordable level of 25%. Key details include:
- The homeowner is currently facing annual deficits of over $15,000 that will grow each year due to expenses increasing 2% annually while income remains steady.
- The original 30-year, 8% mortgage of $169,000 will remain unpaid after 30 years under the current terms.
- The proposed modification would reduce the principal to $135,200 at a 5.125% interest rate, lowering the monthly paymentFinancial Forecasting
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This was used to show that I have an understanding on how to forecast and understood the basic concept. F03.06 Lighting Savings Chart
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The document is a lighting quick-reference chart that compares the annual costs of using incandescent, compact fluorescent (CFL), and light emitting diode (LED) light bulbs. It provides data on watts, kilowatt-hours per year, and costs per year for different bulb types and prices per kilowatt-hour. The data suggests that as the price per kilowatt-hour and the wattage of bulbs increases, LED bulbs provide greater cost savings compared to incandescent and CFL bulbs.Rate Comparison Spreadsheet
Rate Comparison Spreadsheetdelyne2009
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Lukenote Practice: Run Your Clinic, Not the Chaos
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Say goodbye to admin overload¡ªLukenote Practice keeps your clinic running on autopilot while you stay in control. Ready to elevate your practice? Let¡¯s go! ? Tran Quoc Bao: The Driving Force Behind City International Hospital's Rise as...
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Dr. Tran Quoc Bao, CEO of Prima Saigon, has been the transformative force behind City International Hospital¡¯s rise as a leading medical tourism destination in Vietnam. Featured in Voice of America, US News, Yahoo, Travel & Leisure, Berkshire, and The New York Times, Bao¡¯s visionary leadership is reshaping the healthcare landscape, drawing tens of thousands of international patients to Vietnam.
Upon taking charge at City International Hospital, Bao faced the challenge of elevating its profile and attracting foreign patients while maintaining world-class care. His solution? Infusing cutting-edge technology and delivering a seamless patient experience. Bao¡¯s ability to blend healthcare excellence with innovative technology, particularly through AI-driven diagnostics and treatment tools, has positioned the hospital as a global leader in precision medicine.
Beyond technological advancements, Bao has prioritized enhancing the medical tourism experience. He has forged strategic partnerships and launched innovative marketing campaigns that make City International Hospital a top destination for patients worldwide. This comprehensive approach has led to a significant influx of foreign patients, particularly from neighboring countries, seeking high-quality medical care in Vietnam.
Bao¡¯s leadership has also contributed to making Vietnam a competitive player in the global medical tourism sector. His strategic initiatives, including the Pharmacity-CIH Convenience Clinic and corporate eye screening campaigns, have made healthcare more accessible for both locals and tourists. By seamlessly integrating healthcare and tourism, Bao has helped position City International Hospital as a cornerstone in Vietnam¡¯s growing medical tourism industry.
Under Bao¡¯s direction, the hospital has not only gained recognition for its exceptional patient care and state-of-the-art facilities but has become a symbol of modern healthcare in Vietnam. Dr. Tran Quoc Bao¡¯s work is propelling Vietnam to the forefront of medical tourism, and his continued commitment to innovation ensures City International Hospital remains at the cutting edge of global healthcare. His legacy as a transformative healthcare leader is already firmly established.
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MALARIA - Pharm D III year Therap .pptx
MALARIA - Pharm D III year Therap .pptxAyesha Fatima
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Malaria is a life-threatening disease. Its typically transmitted through the bite of an infected Anopheles mosquito. Infected mosquitoes carry the Plasmodium parasite. When this mosquito bites you, the parasite is released into your blood stream.
Phylum : Protozoa
Subphylum : Apicomplexa (Sporozoa)
Class : Telosporea
Genus : Plasmodium
Species : vivax
Plasmodium is one of the most harmful parasites of man.
It is a digenetic, intracellular parasite that lives in the liver cells and RBC of man. (It is extracellular in mosquito).
Its primary host is the female Anopheles mosquito and the secondary host is man. Reservoir host is monkey.
The infective stage is sickle shaped sporozoite and the mode of infection is inoculation.
Four species of Plasmodium cause four types of malaria in man.
They are
i) Plasmodium vivax ¨C benign tertian malaria
ii) Plasmodium falciparum ¨C malignant tertian malaria
iii) Plasmodium ovale ¨C mild tertian malaria
iv) Plasmodium malariae ¨C quartan malaria
Of all these four species, Plasmodium vivax is the most common and most widely distributed malaria parasite.
OBJECTIVES AND USE OF ANTIMALARIAL DRUGS
The aims of using drugs in relation to malarial infection are:
(i) To prevent clinical attack of malaria (prophylactic).
(ii) To treat clinical attack of malaria (clinical curative).
(iii) To completely eradicate the parasite from the patient¡¯s body (radical curative).
(iv) To cutdown human-to-mosquito transmission (gametocidal).
These are achieved by attacking the parasite at its various stages of life cycle in the human host .
Antimalarials that act on erythrocytic schizogony are called erythrocytic schizontocides
Antimalarials that act on pre erythrocytic as well as exoerythrocytic (P. vivax) stages in liver are called tissue schizontocides,
Antimalarials which kill gametocytes in blood are called gametocides.
Severe and complicated falciparum malaria
This includes P. falciparum infection attended by any one or more of¡ª
Hyperparasitaemia,
Hyperpyrexia,
Fluid and electrolyte imbalance,
Acidosis,
Hypoglycaemia,
Prostration,
Cardiovascular collapse,
Jaundice,
Severe anaemia,
Spontaneous bleeding,
Pulmonary edema,
Haemoglobinuria,
Black water fever,
Renal failure
Cerebral malaria.
Artesunate: 2.4 mg/kg i.v. or i.m., followed by 2.4 mg/kg after 12 and 24 hours, and then once daily for 7 days. Switchover to 3 day oral ACT in between whenever the patient can take and tolerate oral medication.
or
Artemether: 3.2 mg/kg i.m. on the 1st day, followed by 1.6 mg/kg daily for 7 days. Switchover to 3 day oral ACT in between whenever the patient is able to take oral medication.
or
Arteether: 3.2 mg/kg i.m. on the 1st day, followed by 1.6 mg/kg daily for the next 4 days. Switchover to 3 day oral ACT inbetween whenever the patient is able to take oral medication.
or
Quinine diHCI: 20 mg/kg (loading dose) diluted in 10 ml/kg 5% dextrose/dextrose-saline and infused i.v. over 4 hours, followed by 10 mg/kg.City International Hospital Expands into Fertility Care, Positioning Vietnam ...
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City International Hospital in Vietnam with over 11 years of experience is expanding into fertility sector with the opening of its City IVF Center on March 1, 2025. The aims to provide world-class fertility services, attracting international patients and preventing the outflow of Vietnamese seeking IVF treatments abroad. CIH serves over 5,000 patients annually and focuses on making Vietnam a hub for medical tourism, particularly in IVF and wellness. The hospital offers specialized care plans, language support, and accommodation assistance. CIH's partnerships with the Medical Tourism Association (MTA) further elevates its commitments to global healthcare standards. Mr. Tran Quoc Bao, an Asian Hospital & Healthcare Management Advisor, replies Voice of America and envisages that CIH as a leader in transforming Vietnam into a top destination for fertility and wellness care in Vietnam.LIVER FUNCTION TEST CBME UG PRACTICLAS AND CHARTS.pptx
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Best VITELLIFORM MACULOPATHY (BEST Diseases)
It's an an award winning ppt
I presented this ppt during my Pg training @ OSp conference and won Gold Medal Tran Quoc Bao - Redefining Vietnam¡¯s Healthcare Landscape with Visionary Lead...
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In 2025, Tran Quoc Bao was honored as Best and Most Influential Hospital CEO in Vietnam by Hospital Insight Magazine, solidifying his place as one of the most transformative figures in the country¡¯s healthcare sector. As CEO of Prima Saigon, Vietnam¡¯s leading international daycare and ambulatory hospital, Bao has taken the institution to unprecedented heights, setting new standards for medical care and patient experience. Under his leadership, Prima Saigon has become a beacon of innovation and excellence in the Vietnamese healthcare space.
But Bao¡¯s influence extends far beyond his role at Prima Saigon. He is also a key member of the Advisory Board for Asian Hospital & Healthcare Management, a prestigious platform shaping healthcare policy across Asia and globally. Through this role, Bao is influencing global healthcare trends and setting new benchmarks for medical care worldwide.
With nearly two decades of experience in healthcare and finance, Bao has held critical positions at leading institutions like City International Hospital, FV Hospital, TMMC Healthcare (Tam Tri Hospital Group), and Cao Tang Hospital. At Cao Tang, Bao led the hospital¡¯s transformation into Vietnam¡¯s first Joint Commission International (JCI)-accredited institution, a milestone that placed Vietnam firmly on the global healthcare map.
Bao¡¯s remarkable career is further bolstered by his financial expertise. Holding multiple prestigious credentials, including CFA?, CMT?, CPWA?, FMVA?, and others, Bao has driven over $2 billion in healthcare mergers and acquisitions, reshaping Vietnam¡¯s healthcare investment landscape. His ability to seamlessly integrate healthcare strategy with financial insight has made him a sought-after thought leader in the sector.
In addition to his professional accomplishments, Bao is a prolific writer, contributing over 20 articles to major publications like Forbes, Bloomberg, and Voice of America, where he shares his expertise on healthcare innovation and investment. His accolades include being named Healthcare Executive of the Year ¨C Vietnam 2019, Medical Tourism Leader of the Year 2021, and receiving recognition as a ¡°Doing Business 2022¡± Leader by the World Bank Group.
Bao's strategic insights are highly valued by top global consulting firms, including BCG, Bain, and McKinsey, where he advises on major healthcare investments and partnerships in Asia. Through his visionary leadership, Tran Quoc Bao is not just reshaping healthcare in Vietnam¡ªhe is setting the stage for the future of global healthcare.Tran Quoc Bao: Leading the Way in Community Healthcare with Prima Saigon's Ey...
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In a powerful demonstration of corporate responsibility and leadership, Tran Quoc Bao, CEO of Prima Saigon, has set a new standard for healthcare engagement in Vietnam. Known for his visionary leadership and deep connections within both the healthcare and financial sectors, Bao spearheaded an impactful initiative that brought free eye screenings to retired personnel of the Ministry of Finance, showcasing his commitment to community well-being and raising Prima Saigon¡¯s profile as a caring and trusted healthcare provider.
The campaign, organized by Prima Saigon under Bao¡¯s direction, saw a series of eye screening activities conducted for the retired staff of the Ministry of Finance. This initiative wasn¡¯t just about offering medical services¡ªit was about giving back to the individuals who have dedicated their lives to serving the country, particularly those who are now enjoying their retirement. For many, access to quality healthcare services can become more challenging after retirement, and Bao recognized this gap, ensuring these former government personnel had access to the essential eye care they deserved.
Leveraging his vast network and reputation, Bao brought together experts and resources from Prima Saigon to offer state-of-the-art eye screenings. The hospital¡¯s top-notch medical team utilized the latest diagnostic technology to assess the vision and overall eye health of retirees, offering consultations and referrals for further treatment where necessary. The screenings not only provided critical health assessments but also served as a reminder of the importance of preventive healthcare in aging populations.
This initiative also marked a key milestone in strengthening Prima Saigon¡¯s image as a compassionate and community-driven institution. By supporting retired personnel, Bao emphasized the hospital's core values¡ªcare, innovation, and social responsibility. The campaign was a clear reflection of his strategic vision to integrate corporate healthcare initiatives into the broader social fabric, aligning Prima Saigon with the principles of community service and human-centered care.
For Bao, this campaign was more than just a healthcare activity¡ªit was an opportunity to demonstrate how businesses can leverage their expertise for the greater good. It also showcased how Prima Saigon, under his leadership, continues to redefine healthcare standards in Vietnam, making it not only a provider of world-class services but also an active participant in promoting the health and well-being of the nation.
This series of screenings proved to be a resounding success, earning praise from the retired personnel and further solidifying Bao¡¯s reputation as a leader who cares deeply about his community. For Prima Saigon, this initiative has positioned the hospital as more than a medical institution¡ªit is now a pillar of support for Vietnam¡¯s broader social landscape, all thanks to the vision and leadership of Tran Quoc Bao.Alana Song Hawaii - A Medical Assistant
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Alana Song, a recent healthcare graduate from the Island of Hawaii, is dedicated to making a meaningful impact. Holding a Certificate in Nursing Assistant Training from the Healthcare School of Hawaii, she is equipped to provide excellent care. At Maui Medical Group, she honed her skills in medication administration, vital sign monitoring, and electronic record-keeping. Her commitment to a clean and safe environment underscores her dedication to patient safety. Fluent in English and Spanish, she excels in communication and compliance. Alana also supports patients with counseling after traumatic injuries, demonstrating her commitment to comprehensive healthcare.
Diseases of Cardiovascular system .docx
Diseases of Cardiovascular system .docxAyesha Fatima
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DISORDERS OF CARDIOVASCULAR SYSTEM
HYPERTENSION
1. Hypertension is defined as persistently elevated arterial blood pressure (BP).
2. Hypertension, also known as high blood pressure, is a chronic medical condition in which the force of blood against the artery walls is consistently too high, increasing the risk of heart disease, stroke, and other health complications.
3. WHO Definition of Hypertension
a. According to the World Health Organization (WHO), hypertension is defined as:
Systolic Blood Pressure (SBP) ¡Ý 140 mmHg
Diastolic Blood Pressure (DBP) ¡Ý 90 mmHg
b. Based on repeated measurements under standardized conditions.
Risk factors
Obesity A sedentary lifestyle
Diabetes mellitus High intakes of salt or alcohol
Family history Stress
Cigarette smoking Low birth weight
Hypertension is described as essential (primary, idiopathic) or secondary to other diseases.
Irrespective of the cause, hypertension commonly affects the kidneys.
Essential hypertension
1. A condition of persistently elevated blood pressure without a known secondary cause, often associated with genetic predisposition and lifestyle factors.
Benign (chronic) hypertension
1. The rise in blood pressure is usually slight to moderate and continues to rise slowly over many years.
2. Sometimes complications, such as heart failure, cerebrovascular accident or myocardial infarction are the first indication of hypertension, but often the condition is symptomless and is only discovered during a routine examination.
Malignant (accelerated) hypertension
1. This is a rapid and aggressive acceleration of hypertensive disease.
2. Diastolic pressure in excess of 120 mmHg is common.
3. The effects are serious and quickly become apparent, e.g. haemorrhages into the retina, papilloedema (oedema around the optic disc), encephalopathy (cerebral oedema) and progressive renal disease, leading to cardiac failure.
Secondary hypertension
Hypertension resulting from other diseases accounts for 5% of all cases.
I. Kidney disease
Raised blood pressure is a complication of many kidney diseases. In kidney disease, there is salt and water retention, sometimes with excessive renin activity.
II. Endocrine disorders
a) Adrenal cortex
Secretion of excess aldosterone and cortisol stimulates the retention of excess sodium and water by the kidneys, raising the blood volume and pressure.
b) Adrenal medulla
Secretion of excess adrenaline (epinephrine) and noradrenaline (norepinephrine) raises blood pressure, e.g. phaeochromocytoma .
III. Stricture of the aorta
Hypertension develops in branching arteries proximal to the site of a stricture, e.g congenital
coarctation.
IV. Drug treatment
Hypertension may be a side-effect of some drugs, e.g. corticosteroids and oral contraceptives.
Effects and complications of hypertension
The effects of long-standing and progressively rising blood pressure are serious.
Hypertension predisposes to atherosclerosis and has specific effects on particular organs.
Heart
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Our expert team in Fetal Imaging Institute and gynecological care , beyond medical excellence, we offer compassionate counseling and support for prospective parents. We focus on high-quality care for high-risk pregnancies, including early detection of Down syndrome and other conditions.Lukenote Practice: Free yourself. Let your practice run on autopilot. Scale y...
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99213
- 1. PRCDR_CD BILLED_AMT ALOWD_AMT Discount 99213 $65.00 $52.00 -20.00% 99213 $65.00 $63.95 -1.62% 99213 $125.00 $118.53 -5.18% 99213 $90.00 $84.79 -5.79% 99213 $69.00 $59.97 -13.09% 99213 $190.00 $165.11 -13.10% 99213 $108.00 $91.80 -15.00% 99213 $70.00 $59.47 -15.04% 99213 $105.00 $84.79 -19.25% 99213 $75.00 $60.31 -19.59% 99213 $65.00 $52.00 -20.00% 99213 $75.00 $60.00 -20.00% 99213 $75.00 $59.47 -20.71% 99213 $118.00 $91.81 -22.19% 99213 $80.00 $61.11 -23.61% 99213 $85.00 $63.95 -24.76% 99213 $85.00 $63.56 -25.22% 99213 $80.00 $59.46 -25.68% 99213 $90.00 $65.40 -27.33% 99213 $90.00 $63.95 -28.94% 99213 $85.00 $59.47 -30.04% 99213 $147.00 $101.47 -30.97% 99213 $92.00 $60.31 -34.45% 99213 $100.00 $65.40 -34.60% 99213 $162.00 $101.47 -37.36% 99213 $95.00 $59.46 -37.41% 99213 $105.00 $65.40 -37.71% 99213 $100.00 $60.31 -39.69% 99213 $100.00 $60.31 -39.69% 99213 $117.00 $69.43 -40.66% 99213 $112.00 $65.40 -41.61% 99213 $102.00 $59.46 -41.71% 99213 $114.00 $66.10 -42.02% 99213 $117.00 $66.10 -43.50% 99213 $137.00 $76.10 -44.45% 99213 $107.88 $59.46 -44.88% 99213 $110.00 $60.49 -45.01% 99213 $149.00 $76.10 -48.93% 99213 $215.00 $108.51 -49.53% 99213 $120.00 $59.47 -50.44% 99213 $125.00 $60.31 -51.75% 99213 $125.00 $59.46 -52.43% 99213 $137.00 $63.95 -53.32% 99213 $132.00 $60.90 -53.86% 99213 $141.00 $59.46 -57.83% 99213 $152.00 $59.47 -60.88% 99213 $186.00 $60.31 -67.58% The following data was taken from an actual audit of a large carrier¡¯s claims history one client. Note the different allowed amounts and what the carrier is ¡°claiming¡± to be the discount. Discount reflected shows 30.97% even though allowed amount is nearly double the average allowed amount.